EvolutionIQ · 6 hours ago
Disability / Casualty Claims Subject Matter Expert (SME Consultant) - AI SaaS
United States
Full-time
Remote
Senior Level
5+ years expEvolutionIQ is a rapidly growing company focused on transforming the insurance space through cutting-edge technology. They are seeking experienced Subject Matter Experts (SMEs) to partner with their Product and Engineering teams to enhance the efficiency and accuracy of their AI-based product for Disability Examiners and Adjusters.
Artificial Intelligence (AI)Commercial InsuranceFraud DetectionInsuranceInsurTechRisk Management
Responsibilities
AI Output Validation: Critically assess the accuracy, relevance, completeness, and practical utility of the AI-generated summaries, recommendations, and data extractions against source medical documents (e.g., Provider Visit Notes, Attending Physician Statements, Medical Bills, etc.)
Product Evaluation: Actively use and evaluate pre-release versions of the product’s features, leveraging your knowledge of claims handling and decision-making processes that [examiners/ adjusters] have
Data Labeling: Accurately and consistently label medical information within insurance claims data. This includes identifying key medical facts, diagnoses, treatments, and other relevant details
Prompt Editing: Leveraging claims-handling expertise to edit LLM prompts (no technical experience required for this)
Workflow Insight: Provide detailed feedback on how the product integrates into existing daily claims management workflows, identifying pain points and opportunities for improvement
User Experience (UX) Input: Offer constructive criticism on the product's user interface and overall user experience to ensure it is intuitive for claims professionals
Qualification
Required
Ideally 5+ years of recent, hands-on experience as a Disability Examiner (for Short-Term or Long-Term), Worker's Compensation Adjuster, or an Auto Casualty Adjuster (Bodily Injury/Liability focus)
Comfortable working with computers and learning new software applications
Exceptional ability to review complex documentation (medical, legal, financial) and critically evaluate the key pieces of information buried within and relevance
Excellent written and verbal communication skills, with the ability to articulate feedback clearly to a non-claims audience (product and engineering team)
Meticulous attention to detail and a commitment to accuracy in evaluation and validation of output
Preferred
Experience in training, mentoring, or process improvement roles within a claims environment
Specific experience using AI or automation tools in a professional setting
Company
EvolutionIQ
EvolutionIQ is an AI company that offers claims guidance solutions for insurance companies.
51-200 employees
H1B Sponsorship
EvolutionIQ has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (16)
2024 (4)
Funding
Current Stage
Growth StageTotal Funding
$63.45MKey Investors
Brewer Lane VenturesFirst Round Capital
2024-12-20Acquired
2024-08-14Series C· $20.15M
2023-06-22Series Unknown· $10.31M
Leadership Team
Michael Saltzman
Co-Founder, Co-CEO
Recent News
MarketScreener
2025-10-31
Company data provided by crunchbase